363 Atlantic Blvd column repair permit CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
,. ATLANTIC BEACH,FL 32233
s- U
INSPECTION PHONE LINE 247-5814
COMMERICAL ALTERATION/OTHER
MUST CALL BY 4PM FOR NEXT DAY INSPECTION: 247-5814
JOBINFORMATION:
Job ID: 17-COTH-3204
Job Type: COMMERCIAL OTHER
Description: Repair column that was damaged by car.
Estimated Value: $800.00
Issue Date: 2/23/2017
Expiration Date: 8/22/2017
PROPERTY ADDRESS:
Address: 363 ATLANTIC BLVD
RE Number: 169730-0000
PROPERTY OWNER:
Name: MANDARIN EMPORIUM INC
Address: 2240 Mayport RD #7
GENERAL CONTRACTOR INFORMATION:
Name: STYLES CONSTRUCTION, INC.
,CBC1250669
Address: 1537 PENMAN RD SUITE A CIA DARRELL GLEN SMITH
Phone: 904-545-9107
PERMIT INFORMATION:
FEES:
PLAN CHECK FEES $27.50
BUILDING PERMIT FEE $55.00
STATE DCA SURCHARGE $2.00
STATE DBPR SURCHARGE $2.00
Total Payments: $86.50
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES
[Ap
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole RoadI� (07 r_4 -iAtlantic Beach, Florida 32233-5445 —l. rl JocPhone(904)247-5826 Fax(904)247-5645E-mail: building-dept@mab.us Date routed:City website: http://www.coab.us
APPLICATION REV/�IEW AND TRACKING FORM
Address: 303 A ,lan�. 81I)J D ant review uired Yes No
Buildint: �lite C0f cV,,Ck�h 1nC Planning &Zoning
Tree Administrator
Public Works
rJA% Public Utilities
Public Safety
Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department First Review: Approved. [-]Denied.
(Circle one.) Comments:
PLANNING&ZONING Reviewed by: Date:—P-47- t
TREE ADMIN. Second Review: ❑Approved as revised. ❑Denied.
PUBLIC WORKS Comments:
PUBLIC UTILITIES
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 0511N09
' BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach, FL 32233
Office(904)247-5826 Fax(904)247-5845
Job Address: 3 b3 AAS cy)I ,C, -6�V C}
Permit Number: —007fl- a
Legal Description Vat cel Parcel 60-
oorea o q. t. q,
Valuation of Work$ 8na tt Proposed Work heated/cooled non-heated/cooled
Class of Work(circle one): New Addition Alteration Repai Move Demolition pool/spa window/door
Use of existing/proposed structure(s)((circle one): Commercial Residential
If an existing structure,is a fire spnukler system installed? (Circle one): Yes No NIA
Florida'ProductApproval# ,v
For multiple pr2ucts use product approval form
Describe in detail the type of work to be performed: .4 yam;✓ e/u,.,.i l,C,f .i r
gay s./�►.Sy'l`t ( t .AJ 'tj A 7 l4- �d Is
Proveli Owner Information:
Name: NlandGxit\ �p\� YY\ 1f�C Address:
City (ask\O(l �'i l� )[\ ttnt �'-3 Z3tphone y 2y\ \\Sl
E-Mail or Fax#(Optional) r p
Contractor Information• CONTRACTOREMAII,ADDRESS R(2e s y(3�l Lp��Gls t�(S na
Company Name: ter/ Gr i/4- /J .r a Qualifying Agent _ ,. ).✓r, e4- / s, . 114
Address: 14-79 1a Ar/ City 'T.ar 4.4. State_FL. Zip a zars
Offers Phone 4-rr-f/,, Job Site/Contact Number srr->1., Fax#
State Certification/Registration if
Architect Name&Phone#
Engineer's Name&Phone# .../�
Fee Simple Title Holder Name and Addresses/�
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I cert6 that no work or installation has commencedpKer m the
issuance o a permit and that all work will be performed!,meet the standards ofall laws regulating construction in thisjurisdiction. This permit becomes mall
and void r work is am commenced within six(6)months,or ifconstruction or work is suspended or abandoned for a rind ofsi;/6)months at any time aqa,
work u commenced. I understand that separate permits must be secured for Dartrica/work,Plumbing,stim, a'ellg Pools,Ful Boilers,Nea/ers
Tanks and Air Condaionen,etc
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT.
lhereby certify that l have readand examines this plicationandkn"thesametobehueandear t. A//prwuiom aflaws and ardinancet governing dtis
o work will be complied with whet! r speci red herein or not. The graining of a permit does not presume to give authority to violate or cancel the
provisions "any other federal,s e,a4- cal law regulating c,utruction or the performance ofcommaction. ///J
Signature of Owner t' Signature of Contractor Ni-..lL/
Print Name C,YIY 1 pY ��.ryJ _ .., Print Name
_........_.._.—.__-_-....._...._.... ._......._..-._.._...._. _ ...LCa�✓e/ .....sa_�....-_SrAt J(� , ..
Bef, Before me
� Uaya .20 n this L) Day of jo u ova -2011
Notary Public o:.aicnN c test
po x Nora v vum 5 are o1 Florida B r -A iy PUD9c-state of 54
da
', ^ , ,� �r z295as commissmaavr zz9saevised 01.26.10
Fa< Mte inn [ '! ,11.2019
mycomm HV�tes may 4-1.'2]
f: _. �,,. .,,v; ",ury Assn.
Wild lAmu9A nlnuonel sitary
DO NOT WRITE BELOW- OFFICE USE ONLY
pp i e
Review Result (circle one):
Approved Disapproved Approved w/ Conditions
Review Initials/Date:
ftelooment Size
Habitable Space Non-Habitable
Impervious area rk,
Mi$cellaneous Information
Occupancy Group b
Type of Construction iM
Number of Stories i
Zoning District
[ECEOVc
1�dPl.,'� ��, :ri c;
Max. Occupancy Load L,,� 2017
Fire Sprinklers Required
Flood Zone X
Con ditions/CommAents:
1 800 Seminole Road
7 Atlantic Beach, Florida 32233
Telephone(904)247-5800
FAX(904)247-5805
Construction Site Management Plan Compliance
A construction site management plan conforming to Atlantic Beach City Code Sec 6-18
has been approved as a part of this building permit The Construction site management
plan was approved based upon the following information.
1. Parking plan—parking plan showing how site will be accessed and all onsite
and abutting street parking areas.
2.
3. Location of construction trailers, loading/unloading area and material storage
area.
4. Location of chemical toilet area.(chemical toilets must be kept out of City
right-of-way and not further than 15 feet from structure under construction)
5. Location of dumpster.Dumpster must be from an approved waste company
(in accordance with Chapter 16 City Code) as of 2009 the permitted
dumpsters are Advanced Disposal,Realco Recycling, and
Shappells. Dumpsters will have tarp covers or rigid covers on windy days.
Dumpsters must be removed prior to issuance of Certificate of Occupancy.
6. Traffic control plan,showing access with dimensions,area to be stabilized,
narrative on phasing of construction with adequate parking and delivery of
materials.
7. Site cleanliness.Contractor must have the entire construction site cleaned by
Friday of each week. This means removal of scrap brother,concrete remnants
and other such construction debris including cans,metal,plastic and paper.
8. Erosion and Sediment Control. Contractor must maintain all elements of the
approved Erosion& Sediment Control Plan(silt fence, catch basin filters,etc.)
until sod or other stabilization has been placed and approved by Public Works.
9. Other activities,where special conditions are identified by the Building
Official.
Failure to comply with the Construction Site Management
Ordinance may result in a Stop Work Order being issued in
accordance with City Code Sec. 6-]7 (3)
Revised 5/2009
